Teamwork - differential diagnostics of oxyphilic lesions
Oxyphilic adenoma - Case 5
Benign hyperplastic nodules - Case 37

Oxyphilic cells are presented which are located mostly dissociated. They do not exhibit prominent nucleoli. The cytological pattern is suspicious fo a Hürthle-cell tumor.

Practically every follicur cells exhibit oxyphilic metaplasia which is a very suspicious sign for being a lesion a follicular tumor. However, follicular cells occur mostly in compact clusters and do not exhibit prominent nucleoli. The cytological pattern is suspicious for an oxyphilic tumor.

While the presence of a halo sign is more than doubtful, the nodule displays perinodular blood flow.

The nodule does not display either a halo sign or perinodular blood flow which is a very unusual situation in a follicular tumor.

Taking the sonographic and cytological data into account, we gave the diagnosis of a Hürthle-cell tumor.

Taking the sonographic and cytological data into account, we should have to give a combined cytological-sonogrpahic diagnosis of a benign nodule displaying oxyphilic changes.
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